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Research Article

Maternal and Perinatal Outcome of Placenta Previa: 10 Years Analysis in the District of Bamako

Thera T, Teguete I, Kouma A, Traore ZO, Traore M, Bocoum M, Mounkoro N

Correspondence Address :

Thera Tiounkani
University Hospital Point G
Bamako, Mali
Tel: 00223-79068353
Email: tiounkani@gmail.com

Received on: August 28, 2017, Accepted on: October 20, 2017, Published on: October 27, 2017

Citation: Thera T, Teguete I, Kouma A, et al. (2017). Maternal and Perinatal Outcome of Placenta Previa: 10 Years Analysis in the District of Bamako

Copyright: 2017 Thera Tiounkani, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Introduction: We initiated this study to determine the outcome of placenta praevia in our department.
Material and Method: This is a cross-sectional study comparing the maternity of the Gabriel Toure's hospital over 10 consecutive years. We compared two groups with placenta previa and without it. Included pregnant women with newborns had a weight ≥ 500 g or whose≥ 22 weeks. We determined the Odds ratio and its 95% confidence interval.
Results: We recorded 504 cases of placenta previa among 30323 admissions (1.7%). Only placental abruption was strongly associated with placenta previa (p<0.001). However, therewere no differences between the two groups according to rates of endometritis, postpartum hemorrhage and maternal death (p>0.05). We found 73.1% of caesarean sections in the placenta praevia group vs57.4% in the group without a placenta previa. Indeed, there was a significantly higher incidence of stillbirths, Apgar score <7, transfer of newborns and small birth weights in the placenta previa group (p <0.001). However, there was no significant difference between the period of prenatal deaths and the type of placental desertion in the two groups.
Conclusion: The maternal outcome is often good. The perinatal outcomes dominated by prematurity and significant perinatal mortality especially during the antenatal period.

Keywords: Placenta previa, Risk actors, Maternal outcome, Fetal outcome